TOIIW
TOIIW
The Oncology Institute, Inc.Income Statement
| Period | Revenue | Operating Expense | Net Income | Net Profit Margin | Earnings Per Share | EBITDA |
|---|---|---|---|---|---|---|
| Q4-2025 | $141.96M ▲ | $22.73M ▼ | $-7.51M ▲ | -5.29% ▲ | $-0.04 ▲ | $5.36M ▲ |
| Q3-2025 | $136.56M ▲ | $26.97M ▼ | $-16.5M ▲ | -12.09% ▲ | $-0.14 ▲ | $-12.86M ▼ |
| Q2-2025 | $119.8M ▲ | $28.71M ▲ | $-17.01M ▲ | -14.2% ▲ | $-0.15 ▲ | $-9.41M ▲ |
| Q1-2025 | $104.41M ▲ | $27.16M ▲ | $-19.59M ▼ | -18.76% ▼ | $-0.21 ▼ | $-12.23M ▼ |
| Q4-2024 | $100.27M | $26.57M | $-13.18M | -13.15% | $-0.14 | $-10.31M |
Balance Statement
| Period | Cash & Short-term | Total Assets | Total Liabilities | Total Equity |
|---|---|---|---|---|
| Q4-2025 | $33.56M ▲ | $164.66M ▲ | $180.38M ▲ | $-15.72M ▼ |
| Q3-2025 | $27.66M ▼ | $163.62M ▲ | $175.89M ▲ | $-12.27M ▼ |
| Q2-2025 | $30.29M ▼ | $159.8M ▼ | $168.78M ▲ | $-8.98M ▼ |
| Q1-2025 | $39.74M ▼ | $164M ▼ | $158.93M ▼ | $5.07M ▲ |
| Q4-2024 | $49.67M | $172.72M | $169.13M | $3.59M |
Cash Flow Statement
| Period | Net Income | Cash From Operations | Cash From Investing | Cash From Financing | Net Change | Free Cash Flow |
|---|---|---|---|---|---|---|
| Q4-2025 | $28.72M ▲ | $3.23M ▲ | $-1.06M ▼ | $3.73M ▼ | $5.91M ▲ | $2.17M ▲ |
| Q3-2025 | $-16.5M ▼ | $-12.63M ▼ | $-604K ▲ | $10.6M ▲ | $-2.63M ▲ | $-13.23M ▼ |
| Q2-2025 | $-13.99M ▲ | $-10.2M ▼ | $-1.21M ▼ | $1.96M ▲ | $-9.45M ▲ | $-11.41M ▼ |
| Q1-2025 | $-19.59M ▼ | $-4.99M ▼ | $-202K ▲ | $-4.74M ▼ | $-9.93M ▼ | $-5.32M ▼ |
| Q4-2024 | $-13.18M | $4.19M | $-1.75M | $-164K | $2.27M | $2.43M |
Revenue by Products
| Product | Q3-2024 | Q4-2024 | Q2-2025 | Q4-2025 |
|---|---|---|---|---|
Capitated Revenue | $10.00M ▲ | $20.00M ▲ | $20.00M ▲ | $60.00M ▲ |
Clinical Research Trials And Other Revenue | $0 ▲ | $0 ▲ | $0 ▲ | $0 ▲ |
Dispensary Revenue | $50.00M ▲ | $50.00M ▲ | $60.00M ▲ | $0 ▼ |
Fee For Service | $30.00M ▲ | $30.00M ▲ | $40.00M ▲ | $110.00M ▲ |
Health Care Patient Service | $50.00M ▲ | $50.00M ▲ | $60.00M ▲ | $170.00M ▲ |
Q4 2025 Earnings Call Summary
Read Call Summary5-Year Trend Analysis
A comprehensive look at The Oncology Institute, Inc.'s financial evolution and strategic trajectory over the past five years.
Key strengths include a sizable and growing revenue base, a clear strategic identity as a value‑based oncology provider, and strong relationships with major health plans. The company has a differentiated, tech‑enabled care model anchored in data, AI, and integrated services, as well as a network that delivers advanced treatments and clinical trials in community settings. Its liquidity position and net cash balance provide near‑term financial flexibility to continue executing on this strategy.
The most significant risks are financial and operational. The company is still loss‑making with negative operating and free cash flow, and years of accumulated deficits have driven shareholder equity negative. Sustaining innovation and network growth while tightening costs and improving margins will be challenging. In addition, the business is exposed to reimbursement, regulatory, and competitive pressures that could affect the economics of value‑based contracts, especially as larger systems and competitors attempt to replicate similar models.
The overall outlook is that of a promising but still unproven value‑based oncology platform. If management can translate scale, technology, and payer partnerships into consistent profitability and positive cash flow, the company’s position in an evolving cancer care landscape could strengthen meaningfully. However, the current financial profile leaves limited room for prolonged missteps, so execution on cost control, contract performance, and capital discipline will be central to how the story develops from here.
About The Oncology Institute, Inc.
https://theoncologyinstitute.comThe Oncology Institute, Inc., an oncology company, provides medical oncology services in the United States. Its services include physician services, in-house infusion and dispensary, clinical trial services, outpatient stem cell transplants and transfusions programs, and patient support.
Income Statement
| Period | Revenue | Operating Expense | Net Income | Net Profit Margin | Earnings Per Share | EBITDA |
|---|---|---|---|---|---|---|
| Q4-2025 | $141.96M ▲ | $22.73M ▼ | $-7.51M ▲ | -5.29% ▲ | $-0.04 ▲ | $5.36M ▲ |
| Q3-2025 | $136.56M ▲ | $26.97M ▼ | $-16.5M ▲ | -12.09% ▲ | $-0.14 ▲ | $-12.86M ▼ |
| Q2-2025 | $119.8M ▲ | $28.71M ▲ | $-17.01M ▲ | -14.2% ▲ | $-0.15 ▲ | $-9.41M ▲ |
| Q1-2025 | $104.41M ▲ | $27.16M ▲ | $-19.59M ▼ | -18.76% ▼ | $-0.21 ▼ | $-12.23M ▼ |
| Q4-2024 | $100.27M | $26.57M | $-13.18M | -13.15% | $-0.14 | $-10.31M |
Balance Statement
| Period | Cash & Short-term | Total Assets | Total Liabilities | Total Equity |
|---|---|---|---|---|
| Q4-2025 | $33.56M ▲ | $164.66M ▲ | $180.38M ▲ | $-15.72M ▼ |
| Q3-2025 | $27.66M ▼ | $163.62M ▲ | $175.89M ▲ | $-12.27M ▼ |
| Q2-2025 | $30.29M ▼ | $159.8M ▼ | $168.78M ▲ | $-8.98M ▼ |
| Q1-2025 | $39.74M ▼ | $164M ▼ | $158.93M ▼ | $5.07M ▲ |
| Q4-2024 | $49.67M | $172.72M | $169.13M | $3.59M |
Cash Flow Statement
| Period | Net Income | Cash From Operations | Cash From Investing | Cash From Financing | Net Change | Free Cash Flow |
|---|---|---|---|---|---|---|
| Q4-2025 | $28.72M ▲ | $3.23M ▲ | $-1.06M ▼ | $3.73M ▼ | $5.91M ▲ | $2.17M ▲ |
| Q3-2025 | $-16.5M ▼ | $-12.63M ▼ | $-604K ▲ | $10.6M ▲ | $-2.63M ▲ | $-13.23M ▼ |
| Q2-2025 | $-13.99M ▲ | $-10.2M ▼ | $-1.21M ▼ | $1.96M ▲ | $-9.45M ▲ | $-11.41M ▼ |
| Q1-2025 | $-19.59M ▼ | $-4.99M ▼ | $-202K ▲ | $-4.74M ▼ | $-9.93M ▼ | $-5.32M ▼ |
| Q4-2024 | $-13.18M | $4.19M | $-1.75M | $-164K | $2.27M | $2.43M |
Revenue by Products
| Product | Q3-2024 | Q4-2024 | Q2-2025 | Q4-2025 |
|---|---|---|---|---|
Capitated Revenue | $10.00M ▲ | $20.00M ▲ | $20.00M ▲ | $60.00M ▲ |
Clinical Research Trials And Other Revenue | $0 ▲ | $0 ▲ | $0 ▲ | $0 ▲ |
Dispensary Revenue | $50.00M ▲ | $50.00M ▲ | $60.00M ▲ | $0 ▼ |
Fee For Service | $30.00M ▲ | $30.00M ▲ | $40.00M ▲ | $110.00M ▲ |
Health Care Patient Service | $50.00M ▲ | $50.00M ▲ | $60.00M ▲ | $170.00M ▲ |
Q4 2025 Earnings Call Summary
Read Call Summary5-Year Trend Analysis
A comprehensive look at The Oncology Institute, Inc.'s financial evolution and strategic trajectory over the past five years.
Key strengths include a sizable and growing revenue base, a clear strategic identity as a value‑based oncology provider, and strong relationships with major health plans. The company has a differentiated, tech‑enabled care model anchored in data, AI, and integrated services, as well as a network that delivers advanced treatments and clinical trials in community settings. Its liquidity position and net cash balance provide near‑term financial flexibility to continue executing on this strategy.
The most significant risks are financial and operational. The company is still loss‑making with negative operating and free cash flow, and years of accumulated deficits have driven shareholder equity negative. Sustaining innovation and network growth while tightening costs and improving margins will be challenging. In addition, the business is exposed to reimbursement, regulatory, and competitive pressures that could affect the economics of value‑based contracts, especially as larger systems and competitors attempt to replicate similar models.
The overall outlook is that of a promising but still unproven value‑based oncology platform. If management can translate scale, technology, and payer partnerships into consistent profitability and positive cash flow, the company’s position in an evolving cancer care landscape could strengthen meaningfully. However, the current financial profile leaves limited room for prolonged missteps, so execution on cost control, contract performance, and capital discipline will be central to how the story develops from here.

CEO
Daniel Virnich
Compensation Summary
(Year )
Upcoming Earnings
Ratings Snapshot
Rating : C
Price Target
Institutional Ownership
LMR PARTNERS LLP
Shares:1.62M
Value:$64.99K
DEERFIELD MANAGEMENT COMPANY, L.P. (SERIES C)
Shares:1.25M
Value:$50K
DAVIDSON KEMPNER PARTNERS
Shares:318.71K
Value:$12.75K
Summary
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